# CEREBRAL PALSY ADULT HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861678393
- **Authorized official:** MRS. MARSHA FAYE LINVILLE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (954) 786-0344

## Contact information

- **Practice address:** 1405 NW 10TH ST, DANIA, FL 33004-2342
- **Practice address phone:** (954) 786-0344
- **Practice address fax:** (954) 785-6635
- **Mailing address:** 1001 NE 3RD AVE, POMPANO BEACH, FL 33060-5712
- **Mailing address phone:** (965) 786-0344
- **Mailing address fax:** (954) 785-6635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 10-1454GH | FL | Yes |

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 01/15/2008